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ADAM JOHN HAMILTON M.D.
NPI 1043484934
Pediatrics in Midland, MI

Active since April 22, 2008PECOS Enrolled
4401 CAMPUS RIDGE DR STE 2000, MIDLAND, MI 48640(989) 837-9250(989) 837-9255 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 22, 2017 (2 updates tracked since 2017).

About Adam John Hamilton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM JOHN HAMILTON M.D. (NPI 1043484934) is an individual pediatrics provider in Midland, Michigan, licensed in Michigan (4301099467) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043484934
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameADAM JOHN HAMILTONCredential: M.D.
Location Address4401 CAMPUS RIDGE DR STE 2000Midland, MI 48640-6125
Mailing Address4401 N Campus Ridge Dr, Suite D2400Midland, MI 48640-6112 · (989) 837-9250 · Fax (989) 837-9255
Phone(989) 837-9250
Fax(989) 837-9255
Sole ProprietorNo
Enumeration DateApril 22, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1043484934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301099467
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4401 CAMPUS RIDGE DR STE 2000, Midland, MI 48640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam John Hamilton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Adam Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Midland
0.2 mi
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
NPI 1205889490 (844) 832-1956
Mymichigan Medical Group
0.2 mi
Pediatrics
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1912957390 (989) 837-9250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL SAWAYA MD
Pediatrics
4401 CAMPUS RIDGE DR STE 2000
MIDLAND, MI 48640
Midland County (989) 837-9250
MRS. MONIQUE MCKAY MCMILLAN LMSW
Social Worker (Clinical)
4401 CAMPUS RIDGE DR STE 2000
MIDLAND, MI 48640
Midland County (989) 837-9250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Hamilton's NPI number?

The NPI number for Adam Hamilton is 1043484934. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Adam Hamilton located?

Adam Hamilton practices at 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640. The listed phone number is (989) 837-9250.

What is Adam Hamilton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Hamilton enrolled in Medicare?

Yes. Adam Hamilton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hamilton reassigns Medicare benefits to 2 organizations: Mymichigan Medical Center Midland (Midland, MI) and Mymichigan Medical Group (Midland, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Hamilton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Adam Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Hamilton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.